CAT 058
Lower Eyelid Rejuvenation | Transcutaneous lower blepharoplasty with fat reposition
Case Overview
Concern
Lower eyelid bags with tear trough deformity and early lid–cheek separation, contributing to a tired appearance.
Approach
Transcutaneous lower blepharoplasty with fat reposition.
Objective
To reduce lower eyelid prominence and restore a smoother transition from eyelid to cheek.
Preoperative Findings
Structural observations
Tear trough depression
Lower eyelid fat prolapse
Early lid–cheek junction descent
and Shadow formation beneath the eyes
(arrows indicate areas discussed above)
Surgical Approach
Transcutaneous lower blepharoplasty
Tear trough release
Fat reposition to the hollow segment
Conservative skin excision
Preservation of lower eyelid support
Postoperative Result
Postoperative observation
Reduced lower eyelid prominence
Improved lid–cheek continuity
Softer shadow transition beneath the eyes
Rested appearance with natural expression preserved